University of Nebraska - Lincoln
Southwestern Oklahoma State University
Marshall University
Centre for Education & Workforce Development, Sydney Local Health District, NSW Health, Sydney, Australia
East Tennessee State University
HCA Florida West Hospital
End-Of-Life Care In The Trauma Bay: Six Key Points,
2023
Western NSW Local Health District / Charles Sturt University
End-Of-Life Care In The Trauma Bay: Six Key Points, Louis Christie Dr
Journal of Geriatric Emergency Medicine
The dominant culture across North America, Europe and Australia has been characterized by workers in hospice and palliative care as ‘death denying’ or ‘death phobic’. The last two decades have seen a significant increase in the number of trauma patients with complex background co-morbidities due to advanced age. Effective end-of-life care in trauma requires physicians to begin careful, balanced and sensitive conversations encompassing goals of care and expectation-setting, in the trauma bay. These pointers will help the reader communicate the principles of these clinical decisions clearly to patients and their families.
Top 10 Things To Know About Falls In Older Adults,
2023
Harvard Affiliated Emergency Medicine Residency
Top 10 Things To Know About Falls In Older Adults, Alexander W. Zirulnik, Shan Liu
Journal of Geriatric Emergency Medicine
No abstract provided.
June 2023,
2023
Southwestern Oklahoma State University
June 2023, Swosu Bulldog Wellness Committee
SWOSU BULLDOG WELLNESS
June 3rd is World Bicycle Day
Bicycles, invented in Europe in the nineteenth century, presently number more than a billion, and are used all over the world. Cycling is a non-weight-bearing, low-impact exercise that is easy on the joints, great for aerobic fitness, fun for people of all ages, and is becoming one of the most popular activities for seniors.
Head Injury In Older Adults: To Scan Or Not To Scan? Ten Tips To Make The Best Decision,
2023
Faculté de médecine familiale et de médecine d'urgence, Université de Sherbrooke
Head Injury In Older Adults: To Scan Or Not To Scan? Ten Tips To Make The Best Decision, Audrey-Anne Brousseau, Éric Mercier
Journal of Geriatric Emergency Medicine
Ground-level falls are a leading cause of emergency department (ED) visits by older adults. In addition to understanding the cause of the fall, the assessment of potential fall-induced injuries such as traumatic intracranial hemorrhage, can be highly challenging for emergency clinicians. Premorbid conditions, medications and concomitant injuries can all interfere with the physical examination and impact the prevalence of signs traditionally associated with traumatic brain injury (TBI). When it comes to the decision to potentially investigate for a traumatic intracranial hemorrhage with a brain imaging such as a head computed tomography (CT), many potential predictors and factors will be considered. …
Geriatric Trauma Triage - The Scope Of The Problem,
2023
University of Melbourne
Geriatric Trauma Triage - The Scope Of The Problem, Mya Cubitt, Rachel Key
Journal of Geriatric Emergency Medicine
n/a
Current Best Practice In Pelvic And Hip Fracture Management In The Older Adult Population,
2023
University of Sydney, NSW , Australia
Current Best Practice In Pelvic And Hip Fracture Management In The Older Adult Population, Anthony P. Joseph
Journal of Geriatric Emergency Medicine
Fractures of the pelvis and hip are a relatively frequent occurrence in the older population. Pelvic fractures in older patients usually occur after a fall from standing height. CT scan is the investigation of choice. There are several classifications available which are useful in risk stratification and predicting surgical treatment. Haemorrhage is a major complication and can usually be treated by interventional radiology. An Orthopedic opinion should be sought promptly, and surgical stabilisation (if indicated) should be completed as early as possible to enable early mobilisation and the avoidance of complications such as deep vein thrombosis or pneumonia.
Hip fractures …
Older Person Fracture Presentation And Management Including Tips For Pain Management,
2023
University of Newcastle, Australia
Older Person Fracture Presentation And Management Including Tips For Pain Management, Timothy D W Arnold
Journal of Geriatric Emergency Medicine
Fractures in older adults occur in patients who commonly carry chronic, complex multi-system disease. Nuanced management for these injuries is required in this patient group to reduce mortality, morbidity and improve outcomes.
Abc's Of Geriatric Trauma,
2023
University of Chicago
Abc's Of Geriatric Trauma, Teresita Hogan
Journal of Geriatric Emergency Medicine
The ABC's approach to geriatric trauma alerts clinicians to specific important factors in emergency evaluation of an injured older adult.
Feasibility Of Family Focused Obesity Screening In Primary Care,
2023
University of San Diego
Feasibility Of Family Focused Obesity Screening In Primary Care, Adrianne Griffiths
Doctor of Nursing Practice Final Manuscripts
Background: Obesity is associated with serious medical conditions including diabetes, hypertension, and heart disease. It also contributes to decreased productivity at work and school, financial strain, and reduced quality of life.
Purpose of Project: To address this problem, a nurse practitioner-led screening and intervention program was piloted at a primary care clinic in southern San Diego. The tool provides a standardized method for screening individuals and their families for nutrition and physical activity deficits associated with obesity, as well as appropriate and effective interventions to prevent and manage obesity.
Methods: The Family Nutrition and Physical Activity (FNPA) screening tool is …
Implementation Of The Diet Readiness Test To Assess Self-Efficacy And Education Effectiveness In Overweight Women,
2023
University of San Diego
Implementation Of The Diet Readiness Test To Assess Self-Efficacy And Education Effectiveness In Overweight Women, Tatjana Ilich
Doctor of Nursing Practice Final Manuscripts
Purpose: The purpose of this evidence-based Doctor of Nursing Practice (DNP) project was to assess perceived self-efficacy in overweight women who are participating in a weight loss program and the effectiveness of education being provided using the Diet Readiness Test (DRT).
Background: Obesity is a rapidly growing public health problem affecting an increasing number of countries worldwide because of its prevalence, costs, and health effects. Among women between the ages of 40 and 60, more than 80% report that they are either trying to lose weight or trying to maintain weight. The overall prevalence of obesity was similar among men …
Using Drama Therapy To Foster Peer Support Among Nurse Leaders,
2023
Lesley University
Using Drama Therapy To Foster Peer Support Among Nurse Leaders, Chyela Rowe
Expressive Therapies Dissertations
This study explored the use of drama therapy to support the social-emotional experiences of nurse leaders at a mid-sized regional hospital system in the Southeastern United States. Nurse leaders have experienced profound changes to their work environments in recent years and burnout has been at an all-time high among healthcare workers globally. Organizational supports for nurses and nurse leaders are both inadequate to meet the needs and under-resourced. The research questions explored 1) whether the drama therapy peer support initiative improved outcomes and 2) whether there was a significant relationship between measures, and 3) what nurse leaders described as facilitators …
How Exemplary Chief Nurse Executives Utilize The Six Domains Of Conflict Transformational Strategies To Establish Common Ground And Produce Breakthrough Results,
2023
University of Massachusetts Global
How Exemplary Chief Nurse Executives Utilize The Six Domains Of Conflict Transformational Strategies To Establish Common Ground And Produce Breakthrough Results, Michael Thompson
Dissertations
Purpose: The purpose of this phenomenological method study was to identify and describe strategies that exemplary chief nurse executive leaders use to identify and establish common grounds to produce breakthrough results in healthcare by using the six domains of transformational conflict strategies: collaboration, communication, emotional intelligence, ethical behaviors, problem solving, and shared interest.
Methodology: As a part of the thematic phenomenological study, the research identified and described the lived experiences of eight exemplary chief nurse executive leaders in health care who used conflict transformational strategies to find common ground to produce breakthrough results. The target population for the study included …
Healthcare Employees’ Perceptions On The Effects Of Internal Audits,
2023
Medical University of South Carolina
Healthcare Employees’ Perceptions On The Effects Of Internal Audits, Jeremy Mason
MUSC Theses and Dissertations
With limited research on the perceptions of internal audits, this study was
able to add more literature to the subject. The study’s aim was to survey
employee perceptions of the effects of internal audits. This study will provide organizations with results pertaining to how employees perceive the usefulness of internal audits. The study team conducted a single-site study and invited the healthcare organization's employee population to participate in the study. The survey captured 40 responses from 361 invitees (11%). The survey explored the perceptions on six categories of internal audits: Efficiency, Ethical Behavior, Effectiveness, Auidotr-Auditee Relationship Exchange, Learning from Audit, …
Early Sepsis Recognition Saves Lives:Optimizing Sepsis Care In A Medical-Surgical Telemetry Unit,
2023
The University of San Francisco
Early Sepsis Recognition Saves Lives:Optimizing Sepsis Care In A Medical-Surgical Telemetry Unit, Genevieve Kales
Master's Projects and Capstones
Abstract
Problem: This Quality Improvement project aims to improve sepsis bundle education to reduce mortality and morbidity rates related to septicemia in a Medical-Surgical Telemetry Unit at a San Francisco Bay Area Hospital, Hospital Z.
Context: The Quality Improvement project occurred in a Medical-Surgical Telemetry unit at Hospital Z. This Unit is a 32 beds unit with an increased mortality and mobility rate with decreased sepsis bundle compliance.
Intervention: Collect active and passive observational data in the microsystem. Data collection was conducted through anonymous self-administered questionnaires to the registered nurses on the unit. No intervention was implemented at this time. …
Exploring And Identifying Healthcare Leaders Competencies Required For Effective Decision Making In A High Velocity Environment To Achieve Sustainability Under The Regulatory Compliance Tenets Of The Patient Protection Affordable Care Act,
2023
Seton Hall University
Exploring And Identifying Healthcare Leaders Competencies Required For Effective Decision Making In A High Velocity Environment To Achieve Sustainability Under The Regulatory Compliance Tenets Of The Patient Protection Affordable Care Act, Sylvester Foote
Seton Hall University Dissertations and Theses (ETDs)
Background and Purpose of the Study: Healthcare organizations face challenges in efficiently accommodating increased participant demands with limited resources and capacity. The modern reimbursement environment prioritized the maximization of operational efficiency and the reduction of unnecessary cost (i.e., waste) while maintaining or improving quality. As healthcare organizations adapt, significant pressures are placed on leaders to make difficult operational and budgetary decisions (Hamrock, Eric, et al., 2013).
As healthcare goes through this transformation within its high velocity environment defined as environments in which there is rapid and discontinuous change in demand, competitors, technology and /or regulations, such that information is often …
Using Critical Incident Debriefing After Code Blue Events To Support Registered Nurses,
2023
University of San Francisco
Using Critical Incident Debriefing After Code Blue Events To Support Registered Nurses, David L. Boyd
Doctor of Nursing Practice (DNP) Projects
Using Critical Incident Debriefing after Code Blue Events to Support Registered Nurses
Section I: Abstract
Background: During a code blue event (CBE), the environment becomes highly stressful and intense. Nurses rapidly transition from performing life-saving procedures on their patients to carrying out their usual duties. Without proper debriefing, nurses cannot properly process their emotions leading to increased burnout and secondary traumatic stress (Stamm, 2010).
Local Problem: In 2021, the nurses at Providence Saint John’s Health Center (2021a) responded to 110 CBEs, a 43% increase from 2020. Without a process for critical incident debriefing (CID), these nurses were exposed to trauma …
Exploring The Relationship Between Nurse Supervisor’S Servant Leadership Behavior And Nursing Employee’S Self-Assessment Of Engagement And Burnout In Nigeria,
2023
Seton Hall University
Exploring The Relationship Between Nurse Supervisor’S Servant Leadership Behavior And Nursing Employee’S Self-Assessment Of Engagement And Burnout In Nigeria, Michael Otuwurunne
Seton Hall University Dissertations and Theses (ETDs)
Burnout is a problem among workers in Nigeria, especially among nurses (Ozumba, & Alabere, 2019). This study examined whether there was a significant relationship between the employee perception of the servant leadership behaviors of the nurse supervisor and the employee’s self-rating of burnout: exhaustion and disengagement, and servant leadership behaviors of the nurse supervisor, and engagement: vigor, dedication, and absorption. Exhaustion refers to an intensive physical, affective, and cognitive strain while disengagement refers to the distancing of oneself from one’s work, and experiencing negative attitudes toward the work object, work content, or one’s work in general (Demerouti et al., 2001). …
Feature Selection From Clinical Surveys Using Semantic Textual Similarity,
2023
Washington University in St. Louis
Feature Selection From Clinical Surveys Using Semantic Textual Similarity, Benjamin Warner
McKelvey School of Engineering Theses & Dissertations
Survey data collected from human subjects can contain a high number of features while having a comparatively low quantity of examples. Machine learning models that attempt to predict outcomes from survey data under these conditions can overfit and result in poor generalizability. One remedy to this issue is feature selection, which attempts to select an optimal subset of features to learn upon. A relatively unexplored source of information in the feature selection process is the usage of textual names of features, which may be semantically indicative of which features are relevant to a target outcome. The relationships between feature names …
Non-Opioid Pain Relief: Use Of Vitamin D In Central Appalachia,
2023
University of Tennessee, Knoxville
Non-Opioid Pain Relief: Use Of Vitamin D In Central Appalachia, Christina Brown, Karen Lasater, Teresa Tyson
Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)
Background: Overdose deaths have exceeded US war fatalities since WWII. Central Appalachia faces high substance use rates and poor health determinants. The opioid epidemic costs $740 billion annually. Providing 100 million chronic pain sufferers alternative pain control is efficacious, equitable, and reduces opioids. The author collaborated with a nurse-led mobile clinic in Central Appalachia to identify evidence-based non-opioid pain relief options for practice translation. In patients with hypovitaminosis D, the body will increase parathyroid hormone production to absorb calcium resulting in skeletal or muscular pain. Vitamin D’s steroid properties reduce inflammation by dampening proinflammatory cytokines. Framework: The Johns Hopkins Nursing …
Early Onset Hypertension Objective Structured Clinical Examinations,
2023
The University of Southern Mississippi
Early Onset Hypertension Objective Structured Clinical Examinations, Katrina Morace
Doctoral Projects
Hypertension is known as a condition in which raised blood vessel pressure persists. On a normal day, the pressure can rise and fall causing damage to the heart. When the pressure stays at higher readings, damage can be caused to the heart and can also lead to additional health problems. Another word for high blood pressure is hypertension. The blood is carried to all body parts from the heart by the arteries. The harder the heart pumps the higher the blood pressure (Centers for Diseases Control and Prevention [CDC], 2020). When hypertension is not diagnosed and treated at an early …
